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If your question to Andrew Lansley wasn't asked...

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Eddie Mair | 13:16 UK time, Friday, 21 January 2011

...you can email him at this special address: pmquestions@dh.gsi.gov.uk


  • 1. At 2:44pm on 21 Jan 2011, marina kewin wrote:

    cancer care
    what is not discused ,is the failure of gp to follow through on basic tests that could identify some cancers in early stages.patients are often refered late by there own gp to more specialist services.

    I worked in cancer services as a specialist social worker. GP fundholding
    and the affects of the griffiths report( late 90s) was a major detriment to the nhs.
    the gp were able to keep finances allocated to refurbishment of new surgeries,becouse no facilaties had been set up to repay back the money or loan repaments. this went into the coffers of the gp in the practise
    gp we forget are buisness people and dont often do things for the good of all the nhs.these buildings were part of there buisnes .we helped through the nhs to build pu there pension pots. Dont complain about mp,s
    and there expenses they were tought by good caring gps

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  • 2. At 2:59pm on 21 Jan 2011, Mindclearly wrote:

    Full mail bag then eh? I'll be listening......

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  • 3. At 4:46pm on 21 Jan 2011, Daphne Sanderson wrote:

    'I feel very uneasy about GP's being in such a controlling position. I have been a Carer for over 30years.The GP surgery has been the most difficult place to go to. It is only in recent years that Carer Issues have come to the fore. GP's have over the last few years been paid to identify Carers in their surgeries. Very few have registered Carers. Why? because as private businesses they do not have to. A practice of 10,000 patients should have approximately 800 carers. It has been suggested to me that they are not paid enough to warrant doing it. So how can we be confident that GP's are not more concerned about their own salaries /payments than Carers & Patients wellbeing.My personal experience is that they do not know what is in my best interest. They are ignorant of Carers issues.'

    When I recently met a GP. I asked why carers are not being identified his response was this. Siting an example that he recently spent a Saturday going through his records to check whether patients with serious Mental Health Issues had been seen by his practice. GP's are supposed the see serious MH patients annually for a health check up. For 96 patients his renumeration could be £1000 ( not the real figure but one to illustrate the point). To identify Carers he would be paid 10p.
    A practice of 10,000 patients should have approximately 800 carers.
    So what is the real contract rates . If GPs are more interested in their pay packets rather than the wellbeing of their patients & their Carers . So if that is what we are worth we do not stand a chance.

    Daphne Sanderson Carer

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  • 4. At 5:11pm on 21 Jan 2011, Martin Hughes wrote:

    Question for Andrew Lansley:

    My GP is great but what happens if a local practice decides to subcontract all medical service provision to foreign doctors whose qualifications are not like those of UK? Who looks out for matters of professional competence? If I need a course of expensive drugs and my GP says the practice just can't afford them, do I shop around until I find a GP with the budget to spare? There may be answers to these and lots of other questions which people have. Maybe we a new NHS FAQ.

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  • 5. At 7:55pm on 21 Jan 2011, Knottygreg wrote:

    In the past, consultants have resisted NHS change at the grass roots level - vetoing real innovations suggested by junior staff for instance and bypassing managers. Is there hope that this will not happen this time around?

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  • 6. At 10:03pm on 21 Jan 2011, MarkSharkey wrote:

    If, as is likely if these proposals pass through parliament unchanged, more NHS operations are carried out by private hospitals/providers, how can I, as a blood donor, require that only publicly owned hospitals are able to use the blood I donate? I am not interested being used for the profit of a small number of multi-millionaires.

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  • 7. At 09:41am on 22 Jan 2011, MaryH wrote:

    DOI - I'm a GP with an interest (not financial!) in Health Informatics - and if this new system is to work, we are all going to need good information and not only information derived from clinical electronic (i.e. GP) records.
    My concerns?
    1. as far as GP Commissioning goes, the Health Bill spells out the powers of the NHS Commissioning Board and Monitor over GP Consortia, including changing the composition of the consortium (which would change the population being served), removing and replacing individuals in the management structure (GPs will not have the time - or expertise - to undertake all the management themselves - and could also be replaced), will be required to approve (or not approve) each Consortium's plans before the beginning of the year (sounds like a considerable beaurocratic problem), and penalise GP Commissioners who fail to acheive all their objectives either financially (thus reducing the resources for the population covered) or by removing the entire management from GPs and installing private commercial or third sector management.
    How much control will GP Commissioners actually have?
    And how responsive will the NHS Commissioning Board br to the needs of the practice populations the new system is supposed to serve?
    2. At present there is a lack of good quality information regarding patient records (apart from GP records - which have been developed over 30 years), and most of the information submitted centrally relates to activities for performance or payment.
    The National Programme for IT has not managed to introduce electronic patient records into either secondary - NHS or private - or Community NHS care, which means that the amount of accessible and reliable information needed for either commissioning care or planning/managing individual's care across different settings (GP, District Nurse, three hospital departments in different hospitals) is not available.
    There is no provision that I can see for either individual Trusts to develop records or systems, or for the over-adching mechanisms to collect and disseminate information to support Commisioning and Patient Care (apart from third party commercial companies who can provide added value).

    I am in the fortunate position of being over retirement age - so will be a patient by 2013: should I emigrate to Scotland or Wales?

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  • 8. At 2:31pm on 22 Jan 2011, newlach wrote:

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  • 9. At 2:32pm on 22 Jan 2011, lucien desgai wrote:

    8 newlach
    Is that a question or one of Mr Lansley's answers?

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  • 10. At 2:57pm on 22 Jan 2011, peterstick7 wrote:

    How can we be sure that GPs do not commission treatment for patients from private providers in which they hold shares.?

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  • 11. At 2:59pm on 22 Jan 2011, Dan7brit wrote:

    If this modernisation programme entitled "liberating the NHS" is not about privatisation and the beginning of the end of a public NHS as you claim, why is it that you as Health Secretary have ignored a critical paper about this modernisation from your own Department of Health officers (and refused to publically publish it!). Also, the modernisation programme is only on page 46 /47 of your election manifestation (hardly high priority - or maybe it was hidden to fool people about your intentions?), and not on the coalition agreement; and why have you ignored NHS health professions (including GP's), BMC, health sector unions, who have all informed you that your plans amount to the destruction of a publicly owned and run NHS?

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  • 12. At 3:10pm on 22 Jan 2011, Saltley Gates wrote:

    This comment was removed because the moderators found it broke the House Rules.

  • 13. At 4:49pm on 22 Jan 2011, Saltley Gates wrote:

    This comment was removed because the moderators found it broke the House Rules.

  • 14. At 1:57pm on 23 Jan 2011, Saltley Gates wrote:

    Mr Lansley,

    1) According to the Northern Echo newspaper a leaked email revealed that a £53m contract to provide health care in prisons went to the cheapest tender from a private company, even though the existing NHS provider offered a better quality service.


    Will your proposed reform make this more or less likely to occur in future?

    2) According to an article published in the Daily Telegraph 14 Jan 2010 and the Northern Echo Friday 21st January 2011



    you were the recipient of donations, to your private office
    Shadow Minsiter for Health, from individuals who have major holdings in Private Health Care Companies.

    Mr Lansley

    Have you recieved money from private health care providers?

    Does your acceptance of money from private health providers like, owners of Care Uk, warrant investigation as being at least a conflict of interest?

    Mr Lansley how much money have you recieved in donations from private healthcare providers over the past 2 years?

    Mr Lansley how much money has the Conservative and Unionist Party recieved in donations from private healthcare providers over the past 2 years?

    Mr Lansley how often have you met with private health care providers over the past 12 months?

    Mr Lansley can we see the minutes of the meetings you held with these private health providers?

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  • 15. At 3:48pm on 25 Jan 2011, VETERAN699 wrote:

    A legion of HEALTH and MANAGEMENT experts (non political) have expressed aprehension about the nature of your reforms. You have ignored their opinions. You are a politician whith no experience of management whatsoever.What makes you think that you know things that they dont know.?

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  • 16. At 1:42pm on 30 Jan 2011, MaryH wrote:

    I sent questions to Andrew Langsley at the address given and have not received either a reply or any acknowledgement.
    Has anyone else?

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  • 17. At 2:11pm on 30 Jan 2011, lucien desgai wrote:

    16 MaryH
    You must've asked a tough question, I don't think he's very used to them.
    Maybe you should also send an email to the PM team, let them know that Lansley's not responding to listeners' questions.

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  • 18. At 7:16pm on 02 Feb 2011, Saltley Gates wrote:

    No reply or acknowledgement of my question sent to Lansley at email above
    and copied above.

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